Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bijan Nezami

Individual provider Internal Medicine Physician · NPI 1003201625

Bijan Nezami is an Emergency Medicine in Summit, Wisconsin. Qualified in 2015, 11 years ago. Practices with Fox Valley Pulmonary Medicine SC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Wisconsin.

Years since qualifying
11
Licensed in
LA, WI
In the registry since
2015
Specialties on file
4
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Practice location Address checks out

36500 Aurora Dr
Summit, WI 53066-4899
Phone: (262) 434-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 Braxton Pl, Madison, WI 53715-1415 — (608) 260-2700

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 66833-20 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 66833-20 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 309895 (LA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 66833 (WI)

Record details

NPI number1003201625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address3301 W Forest Home Ave, Milwaukee, WI 53215-2843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fox Valley Pulmonary Medicine Sc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Summit